| Dialysis in pregnant women with chronic kidney disease. | |
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MedLine Citation:
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PMID: 12969390 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Pregnancy occurs uncommonly in women with chronic kidney disease (CKD) and fetal outcome tends to be poor, with high rates of prematurity and mortality. Dialysis, by complementing residual renal function, may improve fetal outcome in pregnant women with CKD. Although there are no prospective or randomized trials that examine the relationship between dialysis and fetal outcome, there is evidence that increased solute clearance, by early initiation of or intensification of dialysis, is beneficial for the health of the fetus. Case reports and observational studies from the United States, Belgium, and Saudi Arabia suggest that there is a relationship between successful pregnancy and the amount of dialysis received. Unfortunately, in these reports, measures of residual renal function and dialysis adequacy are lacking or incomplete. Nonetheless, compared to nonpregnant patients with CKD, in pregnant women with CKD it is reasonable to begin dialysis at a higher level of residual renal function in the hope of improving fetal outcome. |
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Authors:
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Douglas Shemin |
Publication Detail:
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Type: Case Reports; Editorial; Review |
Journal Detail:
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Title: Seminars in dialysis Volume: 16 ISSN: 0894-0959 ISO Abbreviation: Semin Dial Publication Date: 2003 Sep-Oct |
Date Detail:
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Created Date: 2003-09-12 Completed Date: 2004-02-13 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8911629 Medline TA: Semin Dial Country: United States |
Other Details:
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Languages: eng Pagination: 379-83 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Kidney Failure, Chronic / therapy* Pregnancy Pregnancy Complications / therapy* Renal Dialysis* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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